| Elite Mobile Wound Care Llc | |
|
37569 Highway 26, Sandy, OR 97055-9301 | |
| (503) 668-5210 | |
| Not Available |
| Full Name | Elite Mobile Wound Care Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 37569 Highway 26, Sandy, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902634256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Trevor Jon Haynes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144576224 PECOS PAC ID: 2961718085 Enrollment ID: I20180403002537 |
| Provider Name | Heather Brianna Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205383890 PECOS PAC ID: 7517248958 Enrollment ID: I20190816001826 |
| Provider Name | Daniel Joseph Mcmanus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225618333 PECOS PAC ID: 2163969759 Enrollment ID: I20240731003263 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Mobile Wound Care Llc 37569 Highway 26, Sandy, OR 97055-9301 Ph: () - | Elite Mobile Wound Care Llc 37569 Highway 26, Sandy, OR 97055-9301 Ph: (503) 668-5210 |
Dr. Trevor J Haynes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 37569 Highway 26, Sandy, OR 97055 Phone: 503-668-5210 Fax: 877-480-9759 | |
Ravneet Sandhu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 37569 Highway 26, Sandy, OR 97055 Phone: 503-668-5210 | |
Elite Foot & Ankle Associates Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 37569 Highway 26, Sandy, OR 97055 Phone: 503-668-5210 Fax: 877-480-9759 |